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Individual

VALI KHAIROLLAHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7035 MIDDLEBROOK PIKE STE B, KNOXVILLE, TN 37909-1156
(865) 544-1550
(865) 544-1570
Mailing address
7035 MIDDLEBROOK PIKE STE B, KNOXVILLE, TN 37909-1156
(865) 544-1550
(865) 544-1570

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
6853
TN
207Q00000X
Family Medicine Physician
Primary
6853
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3135631
BLUE CROSS BLUE SHILED
TN
05
3138612
TN
Enumeration date
07/02/2006
Last updated
09/10/2018
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